Individual
BRANDI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
201 N TERREBONNE DR, GRAY, LA 70359-6403
(986) 870-7314
Mailing address
201 N TERREBONNE DR, GRAY, LA 70359-6403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2024
Last updated
07/07/2025
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